NPI | 1023153160 |
---|---|
Former Legal Business Name | ADVANTAGE HEALTHCARE |
Entity Type | Organization |
Authorized Contact | VERA SCHMIDT Administrator 847-385-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002140) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2023-01-26 |